Guest Orientation & Liability Waiver
If you are a guest of a patron and are new to the SBTS Health & Rec Center please fill out the information below.

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Today's Date *
MM
/
DD
/
YYYY
Host Full Name *
Host Email Address *
Host Student ID# *
Guest Full Name *
Guest Gender *
Guest Age *
Guest Phone Number | (xxx)xxx-xxxx *
Emergency Contact Name *
Emergency Contact Number | (xxx)xxx-xxxx *
What is the present state of your general health? *
Check if you now or have had the following issues: *
Required
Has your physician advised you not to participate in physical activity? *
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